HomeMy WebLinkAboutSANO, CHIHIRO -2016City of Santa Ana
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Clerk of the Council coTcOffice Use Only
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement MG', 21 PM 5'- n0
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements CITY OF S ANTA ANA
have been satisfied prior to signing the termination form. CLERK OF COUNCIL
Is the agreement(s) a permanent record? Yes No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
No. N-2016-181 was completed on I of ij and final payment has been made.
(List all amendments. Use space below if needed.)
Department: mcfsk
Phone/Exf.: �119 iq
Signature: i
Date: 01(41 2cu
Revised: 10-16-16
i\NGE ON F&E.
MAY PROCEED N-2016-181
UNlfLINSURANCE EXPIRES
"" CLERK OF COUNCIL.
DATE DEC 2 1 2016 RECREATION SERVICES AGREEMENT
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�t0'U& (.l� 0THIS AGREEMENT is made and entered into this 23' day of November, 2016 by and
between Chihiro Sano ("Provider") and the City of Santa Ana, a charter city and municipal
corporation organized and existing under the Constitution and laws of the State of California
("City").
RECITALS
A. The City desires to retain a recreation service provider having special skills, resources and
knowledge to provide ballet and yoga classes in its leisure class program.
13. Provider represents that he/she is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Provider represents that he/she is
knowledgeable in her field and that any services performed by Provider under this
Agreement will be performed in compliance with such standards as may reasonably be
expected.
NOW TII:EREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Provider shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
In consideration for the provision of the programs set forth in Exhibit A,, City agrees to
pay the Provider seventy percent (70%) of all gross revenue received from program participants,
Total revenue to Provider shall not exceed $25,000.00 annually. Payment to Provider shall be
made monthly within thirty (30) days following completion of the last class taught by Provider
the prior month. City shall be responsible for collecting all fees from program participants.
Provider shall not collect fees but will refer all interested participants to City for registration
information. Provider agrees that City shall retain thirty percent (30%) of all gross revenue
received from program participants as an administrative fee.
3. TERM
This Agreement shall commence on January 1, 2017 and end on December 31, 2017
unless terminated earlier in accordance with Section 12 below. The term of this Agreement may
be extended by a writing executed by the City Manager and the City Attorney.
4, INDEPENDENT CONTRACTOR
Provider shall, during the entire terry of this Agreement, be construed to be all
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer -employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the manner in which Provider performs
the services which are the subject matter of this Agreement; however, the services to be provided
by Provider shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Provider shall pay all salaries and wages, employer's social
security taxes, unemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes. Provider is not an agent, representative or
employee of City and Provider shall have no authority to act on behalf of the City.
5. LNSURANCE
Prior to undertaking performance of work under this Agreement, Provider shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below;
a. Commercial General Liability Insurance. Provider shall maintain commercial general
liability insurance which shall include, but not be limited to protection against claims arising
from bodily and personal injury, including death resulting therefrom and damage to property,
resulting from any act or occurrence arising out of Provider's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting therefrom, and property damage, in the total amount of $1,000,000 per
occurrence and $2,000,000 in the aggregate. Such insurance shall (a) name the City, its oFfrcers,
employees, agents, volunteers and representatives as additional insured(s); (b) be prirnary and
not contributory with respect to insurance or self-insurance programs maintained by the City;
and (c) contain standard separation of insured's provisions.
b. Worker's Compensation Insurance. In accordance with California State law, Provider,
if Provider has any employees, is required to be insured against liability for worker's
compensation or to undertake self-insurance, Prior to commencing the performance of the work
under this Agreement, Provider agrees to obtain and maintain any employer's liability insurance
with limits not less than $1,000,000 per accident.
c. The following requirements apply to the insurance to be provided by Provider pursuant
to this section:
(i) Provider shall maintain all .insurance required above in full force and
effect for the entire period covered by this Agreement. Certificates
of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in form by the City.
(ii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) clays prior written notice to the City,
d. If Provider fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insu ranee has been procured
and is in force and paid for, the City shall have the right, at the City's election, to terminate this
Agreement. Such termination shall not affect Provider's right to be paid for its time and
materials expended prior to notification of temvnation. Provider waives the right to receive
compensation anti agrees to indemnify the City for any work performed prior to approval of
insurance by the City.
G. INDErMNIFICATION
Provider agrees to and shall indemnify, defend and 'hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability: (1) for
personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of
claims for personal injury, including death, and claims for property damage, which may arise
from the negligent operations of the Provider or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement, and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement, to the extent that the injury, damages, just compensation,
restitution, judicial or equitable relief is caused by the negligence of the Provider. This indemnity
and hold harmless agreement applies to all claims for damages, just compensation, restitution,
judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events
referred to in this Section or by reason of the terms of, or effects, arising from this Agreement,
City may make all reasonable decisions with respect to its representation in any legal proceeding.
In no case will Provider be required to indemnify or hold harmless the City from injury,
damages, just compensation, restitution, judicial or equitable relief caused by the negligence of
the City.
CONFLICT OF INTEREST
Provider covenants that it presently has no interests and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
S. LIVE SCAN BACKGROUND CHECK
Provider, and any employees, subcontractors or substitutes, in contact with minors under
eighteen (18) years of age shall arrange for and submit to a Live Scan electronic background
check for criminal history available through the California Department of Justice as a condition
of this Agreement and provide proof of compliance prior to performing services hereunder.
9. NOTICE
Any notice, tender, demand, delivery, or other conutmnication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by fast class or certified mail, postage prepaid, or sent by fax or other telegraphic
communication in the manner provided in this Section, to the following persons:
To City: Clerk of the Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
With copy to:
Santa Ana, CA 92702-1988
Fax (714) 647-6956
Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
Fax (714) 571-4211
To Provider: Chihiro Sano
4365 Johanna
Lakewood, CA 90713
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Provider regarding the subject matter herein, and supersedes any and all other agreements, oral
or written, between the parties. In the event of a conflict between the terms of this Agreement
and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not
be modified except by written instrument signed by the City and by an authorized representative
of Provider. The parties agree that any terms or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not
bind or obligate Provider or the City. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by
any party, or anyone acting on behalf of any party, which is not embodied herein.
11. ASSIGNMENT/SUBSTITUTES
a. Assignment. The experience, knowledge, capability and reputation of Provider were a
substantial inducement for City to enter into this Agreement. Therefore, Provider may not assign,
transfer, delegate, or subcontract any interest herein without the prior written consent of the City
Cl
and any such assignment, transfer, delegation or subcontract without the City's prior written
consent shall be considered null and void,
b. Substitutes. In the event Provider is not able to teach a class due to illness or some
other cause beyond Provider's reasonable control, Provider must procure, at its sole expense, a
qualified substitute instructor to teach the class at its regular time and place. Provider shall
ensure that substitute instructors are at least twenty-one (21) years of age and comply with the
City's insurance and live scan requirements contained herein. Evidence of compliance with
City's insurance and live scan requirements shall be provided upon request. Provider trust
immediately notify the City of the substitute instructor's name, qualifications, address and phone
number. If Provider cannot procure a qualified substitute slid the City is unable to assist in this
regard, then the class shall be canceled and a malce-up class must be added to the session.
Provider must notify participants as soon as possible of any class cancellation and make-up class.
Provider trust personally teach at least seventy-five percent (75%) of its offered classes.
11 TERMINATION
a. This Agreement tray be terminated by the City upon thirty (30) days written notice of
termination. In such event, Provider shall be entitled to receive, and City shall pay Provider,
compensation for all services rendered prior to the effective date of termination.
b. Termination or cancellation of classes by Cie Provider outside of Section I Lb. must be
given to the City at least thirty (30) clays prior to termination/cancellation. Failure to provide
adequate cancellation notice, to the City may put future contracting of business with the City at
risk and will result in the City's retention of ten (10%) percent of the final payment to Provider.
13. RECORDS
Provider shall use attendance sheets generated and supplied by the City to record
attendance in each class. Provider shall keep these and any other records in connection with the
work to be performed binder this Agreement and shall permit City, upon request, to review such
records for a period of three (3) years from the date of :final payment to Provider under this
Agreement.
11, NON-DISCRMINATION
Provider shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by
applicable law, in the recruitment, selection, teaching, training, utilization, promotion,
termination or other employment related activities or any services provided Linder this
Agreement. Provider affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
15. JURISDICTION —VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and onforcement: of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
16. LICENSES
Provider shrill, throughout the terra of this Agreement, maintain all necessary licenses,
pennies, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies.
17, SE"VERATIILITY
In the event that one or more of the phrases, sentences, clauses, paragraphs or sections
contained in this Agreement shall be declared invalid or unenforceable by valid judgment or
decree of a court of competent jurisdiction, such invalidity or unenforeeability shall not affect
any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement,
which shall be interpreted to carry out the intent of the parties hereunder,
18, EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth
in the body of this Agreement.
19. AUTHORITY
The persons) executing this Agreement on behalf of the parties hereto warrant that they are
duly authorized to execute this Agreement on behalf of said parties and that by so executing this
Agreement, the parties hereto are formally bound to the provisions of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST: CITY OF SANTA ANA
Maria D. Iluizar David Cavazos
Clerk o£the Council City Manager
[signatures continue on next page]
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
rn M. Funk
tant City Attorney
RECOMMENDED FOR APPROVAL:
Gerardo Monet
Executive Director of Parks,
Recreation and Community Services Agency
PROVIDER:
n
r
i u�o Sano
Exhibit A
SCOPE OF SERVICES- Chihiro Sano
A. Provider shall conduct Ballerina classes for children ages 3-12 years old at various locations.
B. Provider shall conduct Introduction Yoga classes for ages 16-99 years old various locations
C. Ballerina classes are 50 minutes per day
D. Star Ballerina classes are 50 minutes per day
E. Introduction Yoga is Saturday, 50 minutes per day
F. Provider will provide and be responsible for equiptnent, records, and personnel and cleanup of
the facilities and materials necessary to ensure the safety and effectiveness of said instruction.
G. If Provider allows others to teach his/her class, those teachers must be over 21, have obtained and
maintain an instructor rating, and be covered by Provider's insurance. Provider shall provide City
with documentation to verify instructor and insurance requirements.
CLASS ME
1) Each class must have a minimum of 2 paid students and no more than a maximum of 15.
2) No registration will be accepted after the second meeting of class.
3) hi the event the minimum number of enrollees is not realized by the second meeting of the class, the
class shall be canceled. Provider will be under no obligation to provide services and the City will
have no obligations to pay Provider compensation
CLASS17EES
1) Each participant shall pay a -$20, $25, $23, $33 and $6 registration fee per month, depending on the
class attended. Anticipated revenue from this class is not to exceed $25,000.00.
2) No refunds will be made to participants after the first week of class unless the class is cancelled by the
C4ty.
3) The City shall collect registration fees from each participant during the registration period. Provider
shall not collect fees, but shall refer all interested participants to City for registration.
4) Provider shall receive seventy per cent (70%) of the total fees collected each month. City and Provider
agree that City shall retain thirty per cent (30%) of the fees collected as an administration fee.
5) Provider agrees that City is entitled to audit Provider's records and classes to insure compliance with
this Agreement.
6) Provider may not waive class participation/registration fees.
7) City shall prepare class rosters and provide a copy to Provider. Only registered participants may
participate in class.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 6360-10817217015045
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
City of Santa Ana
Apex Insurance Services
P. O. Box 6450
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Chlhlro Sano
TYPE: Various Instructional Classes
4365 Johanna Ave
DATE(S): 06/09/2016 - 12/31 /2016
Lakewood, CA 90713
LOCATION' Gerield Comm unity Carl Salvador CenterlMemoral Park
, *Liquor Liability Yes No &
"Liquor uor Liability after 12 am ends before 2 am ❑
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless
amended as described in Special Conditions.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41020
MASTER POLICY DATES: EFFECTIVE: January 01, 2016 EXPIRATION: January 01, 2017
COMMERCIAL GENERAL LIABILITY General
OCCURRENCE FORM
DEDUCTIBLE: NONE
Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
SPECIAL CONDITIONS:
Personal & Advertising Injury 1,000,000
The following endorsements attached to
Each Occurrence Limit 1,000,000
the Master Policy do not apply to this
Damage To Premises Rented To You (Any One Premises) 100,000
Certificate Of Insurance:
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
❑ $1,000,00053,000,000
❑ $2,000,00052,000,000
Property Damage (If purchased)
No Property Damage Coverage
The limits of insurance apply separately to each event insured by this policy as if a separate policy ofinsurance has ued f r tba m
OTHER ADDITIONAL INSUREDS\ol
Berenice Cortez, Ray Rivera
CANCELLATIONShould the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy
provisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 06/09/2016
WORKERS' COMPENSATION DECLARATION
I , i ��/tt �JU AQ hereby affirm under penalty of perjury, the
(Name/Title)
following declaration
I certify on behalf of ) Y0_ O- D that during the term of my
(Consulmnt/Company Name)
contract for Dr+ �iBSF'+P; services with the City of Santa Ana, I will
not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions and provide proof of workers' compensation coverage.
DATE: (1 4
in
Name:
Title: R - ,�l,; qg 11164yac#w
Telephone:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i y.
BViOWB�
BV�5
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2017-11
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITY PROGRAM
1PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Altiant Insurance Services, Inc. in conjunction with
City of Santa Ana
Apex Insurance Services
20 Civic Center Plaza
P. O. Box 6450
Santa Ana, CA 92701
Newport Beach, CA 92658
License Nw OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Chihiro Sano
TYPE: Fitness
4365 Johanna Ave
DATE(S): 01/01/17 - 12/31/17
Lakewood, CA 90713
LOCATION: Garfield Center /EI Salvador Center/Memorial Park
N�
4\J - � X(. � U - 0�1
*Liquor Liability YesE] No []
,
"Liquor Liability after, 12 am ends before 2 ant El
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless
amended as described in Special Conditions.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: SEP41023
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE,
General Aggregate Limit S 2,000,000
Products & Completed Operations 1,000,000
SPECIAL CONDITIONS:
Personal & Advertising InJL11-y 1'000'0o0
The following endorsements attached to
Each OCCUITencc Limit 1,000,000
the Master Policy do not apply to thus
Damage To Premises Rented Tu You (Any Oac Preiffises) 100,000
Certi ficate Of InSfflance:
Medical Payments (Any One Person) 5,000
Liquor Liability (if purchased) 1,000,000
Optional Limits Purchased
$1,000,0001$3,000,000
"RE
. �e'Ved)M"
El $2,000,000/$2,000,000
ti
Damage To Property (If purchased)
C.
The limits of insurance apply separately W each event h-ISUred by this policy as if separate policy of insurance has been is o "~ en
OTHER ADDITIONAL INSUREDS
Alex Warner
Berenice Cortez
CANCELLATION: Should the above described poky be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy
provisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: —December 21, 2016 By Stella Fajardo